Dental
Rita Deragobian DDS INC
Rita Deragobian DDS INC was paid $20K by Medicaid between Jan 2018 and Aug 2022, across 12 billing codes. Its largest line is D0120, dental checkup, returning patient — 20% of everything it billed.
33Billing provider infoRITA DERAGOBIAN DDS INC
MONTCLAIR, CA 91763
MONTCLAIR, CA 91763
33aNPI1992127997assigned 01/09/2014
33bProvider typeDentist
28Total paid$20K
24GClaims736
24DCodes billed12
24AFirst – last monthJan 2018 – Aug 2022
Compared with peers
Next to other Dentist providers in California
Rank by total paid#1,771 of 2,314
Median peer was paid$185K
This provider vs. median0.1×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2018 | 185 | $8K | |
| 2019 | 172 | $3K | |
| 2020 | 50 | $1K | |
| 2021 | 264 | $6K | |
| 2022 | 65 | $2K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| D0120 | Dental checkup, returning patientPeriodic oral evaluation - established patient | 20% | 99 | 99 | $4K |
| D2393 | Resin-based composite - three surfaces, posterior, primary or permanent | 13% | 33 | 14 | $3K |
| D2391 | Resin-based composite - one surface, posterior, primary or permanent | 11% | 41 | 13 | $2K |
| D0150 | Comprehensive oral evaluation - new or established patient | 11% | 39 | 39 | $2K |
| D2392 | Resin-based composite - two surfaces, posterior, primary or permanent | 10% | 31 | 15 | $2K |
| D1120 | Dental cleaning, childProphylaxis - child | 8.1% | 54 | 54 | $2K |
| D1208 | Topical application of fluoride, excluding varnish | 7.1% | 153 | 153 | $1K |
| D0230 | Intraoral - periapical each additional radiographic image | 6.5% | 221 | 129 | $1K |
| D0210 | Intraoral - complete series of radiographic images | 5.5% | 27 | 27 | $1K |
| D1110 | Prophylaxis - adult | 5.0% | 12 | 12 | $990.00 |
| D0274 | Bitewings - four radiographic images | 1.4% | 14 | 14 | $272.80 |
| D0272 | Bitewings - two radiographic images | <1% | 12 | 12 | $110.00 |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialDERAGOBIAN, RITA (OWNER)
| Provider | Location | Paid |
|---|---|---|
| Rita T. Deragobian DDS, INC. | Glendora, CA | $5K |
Matched on the authorized-official name exactly as entered in NPPES. A common name can match unrelated people.